Respiratory

The Barts Health Respiratory Medicine Service cares for patients with a wide range of respiratory diseases from across London, Essex and the rest of the country.

We care passionately about making people better and transforming their lives. The Respiratory Medicine Service has expertise in helping patients with a range of conditions, including allergies, asthma, chronic obstructive pulmonary disease, cystic fibrosis, lung cancer, sleep disordered breathing, home mechanical ventilation, and tuberculosis (including drug-resistant strains).

Our multidisciplinary teams put the patients first, and work together to provide the best care possible. In addition, we carry out the very latest tests and treatments using state-of-the-art technology.

We motivate and empower our patients to help them manage their condition. Our aim is to provide people with the resources that they need to live happier, more comfortable lives.

Our respiratory services are based at:

  • Newham University Hospital
  • St Bartholomew’s Hospital
  • The Royal London Hospital
  • Whipps Cross University Hospital

Why choose us

We are based in leading teaching hospitals, and continually push the boundaries of medical research to ensure that we are able to provide the most advanced and successful technologies and treatments.

Our Allergy Centre is involved in developing the latest allergy treatments via the Lung Research Centre. We act as a research centre for many international multi-centre studies and our patients have the opportunity to take part in some of these trials, so that they are among the first in the world to benefit from new drugs and treatments. 

Our research includes trials on sublingual immunotherapy (an allergy treatment that uses an allergen tablet, given under the tongue, to reduce long-term symptoms), and the development of new antihistamine treatments.

For patients

We diagnose patients with suspected respiratory conditions using state of the art diagnostic technology. If diagnosed with a respiratory condition, patients are then cared for through a number of specialist clinics run by the Trust.

Find out about:

We offer services including a number of respiratory clinics for patients including:

  • a dedicated cystic fibrosis centre for adults
  • specialist care for patients with asthma, including the Barts Health Difficult Asthma Service based at The Royal London and in the chest clinic at Whipps Cross
  • lung cancer management
  • Tuberculosis treatments
  • Physiotherapy for chest clearance and control of breathing
  • a respiratory dietitian service
  • full lung function testing, cardio-pulmonary exercise testing, sleep studies including polysomnography, bronchial provocation testing, skin prick testing and shuttle walk tests at our Respiratory Function Unit, located at The Royal London
  • standard flexible bronchsocopy (an instrument is inserted into the airways for diagnostic and therapeutic purposes).
  • anti-IgE injections (a treatment for asthma that induces, enhances or suppresses the immune response)
  • an endobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA) service

The Barts Health Difficult Asthma service

The Difficult Asthma service is run by Professor Neil Barnes and Dr Runa Ali. Clinics are held every two weeks, for severely affected asthma patients.
All of our patients have uncontrolled asthma at Step 4 or Step 5.

  • Step 4 - poor control on moderate dose of inhaled steroids plus long acting beta 2 agonist plus add-on therapy
  • Step 5 – continuous or frequent use of oral steroids

We offer investigations and immune treatments including anti-IgE antibody injections (omalizumab) and access to other promising new therapies through participation in clinical research trials.

Sleep and home ventilation services

The sleep and home ventilation service is the UK’s third largest sleep and domiciliary (home) ventilation service, receiving referrals from North Thames and Essex. We also support the regional motor neurone disease centre.

The service carries out sleep studies on patients including assessments for sleep apnoea. We provide Trans-cutaneous carbon dioxide monitoring, a non-invasive method to measure gas levels in the blood, and oxygen assessments, for on-going monitoring and to see if home oxygen is required.

Fitness to fly assessments are done for patients with respiratory failure or advanced lung diseases and also assessments for home mechanical ventilation. We provide continuous positive airway pressure (CPAP), a treatment used to help keep the airways open. For patients with conditions that may be related to their weight we carry out Bariatric patient assessments.

Inpatient facilities for adults with respiratory conditions

We provide outstanding inpatient facilities for adults with respiratory conditions. Our service includes:

  • an acute adult respiratory inpatient service
  • a medical admissions unit
  • twice weekly bronchoscopy and EBUS service - for rapid diagnosis and staging of lung conditions
  • full non-invasive ventilation service
  • an interventional radiology service providing bronchial arterial embolisation for massive haemoptysis (coughing up blood). This is a technique using x-rays to examine the bronchial arteries (the arteries in your lung).

A large percentage of inpatient beds at The Royal London are in single rooms. All patients with respiratory conditions, who are admitted as emergencies, are seen by a respiratory consultant the following morning.

Joint Allergy/Ear, Nose and Throat clinic

Every month, we run a specialist joint clinic at St Bartholomew’s for patients with allergies, as well as ear, nose and throat conditions. The clinic treats adults with complex, combined, allergy and nasal problems such as nasal polyps and chronic rhino-sinusitis. One of our Consultants specialises in anosmia (impaired sense of smell).

We offer nasendoscopy (the examination of the nose and airways, using a small flexible telescope), computed tomography scans of the sinuses, skin prick testing for allergies, and olfactory (smell) testing.

Children’s Hospital

The Barts Health Allergy Centre (for children) is based at Barts Health Children’s Hospital at The Royal London. We offer services including:

  • Treatments for conditions including allergic asthma, allergies, anaphylaxis and eczema
  • Adrenaline auto-injector pen training
  • Dietary exclusion advice
  • Food challenges.

For more information visit the Barts Health Children’s Hospital website.

Contact the chest clinic

Clinics at The Royal London Hospital

The lung function service 
Location: Once you have entered the building, follow the signs to lift core 8 and take a lift to the second floor. You will see signs for lung function.

Tel: 020 3594 1228 Lung Function Lab
Tel: 020 3594 2000 Reception
Fax: 020 3594 3211

Respiratory Medicine service
Location: Once you have entered the building follow the signs to lift core 5 and take a lift to the 13th floor. You will see signs for Ward 13F. 

Tel: 020 359 42901 or 020 359 42899
Fax: 020 359 42914

Clinics at Whipps Cross University Hospital

The Chest Clinic

Location: The Chest Clinic is located to the side of the main hospital entrance, Orange Zone. X-rays are taken from 9am-12pm, Monday to Friday. Clinics are open 9am-4pm, Monday to Friday. To get an appointment at the Chest Clinic, you need a referral from your GP.

Tel: 020 8535 6674 General enquiries
Tel: 020 8539 5522 ext: 5026 Clinical Nurse Specialists (Sleep/Oxygen/COPD/Asthma)
Tel: 020 8535 5469 Macmillan Nurses (lung cancer)  
Tel: 020 8539 5522 ext: 5748 Tuberculosis Nurse Specialists

For clinicians

For all hospital sites, please use the Choose and Book system. Alternatively, referrals should be sent to:

Outpatients Appointments Office,
Barts Health NHS Trust,
1st Floor, 
9 Prescot Street,
London, E1 8PR

Tel: 020 7767 3200 available 8.30am-5pm, Monday to Friday
Fax: 020 7791 9670
Email: appointments@bartshealth.nhs.uk 

For referrals to Newham University Hospital

Clinics include:

  • Asbestos
  • General respiratory
  • Chronic obstructive pulmonary disease/asthma
  • Sleep medicine and obesity hypoventilation
  • Tuberculosis clinic (walk-in)

St Bartholomew’s Hospital

Clinics include:

  • Joint allergy/ear, nose and throat clinic

The Royal London Hospital

Clinics include:

  • A joint respiratory/allergy clinic twice a month (Tuesday afternoons) for children with asthma and food allergies. There is a multi-disciplinary team of consultant, doctor, allergy/respiratory clinical nurse specialist and services include skin prick test/lung function tests. Some asthmatic children are also seen in the respiratory clinic.
  • Monthly food allergy clinic for children with multiple food allergies or anaphylactic reactions, with input from a dietitian.
  • Skin clinics.

Whipps Cross University Hospital

Clinics include:

  • Chest clinic
  • Cystic fibrosis
  • GP X-ray
  • Lung cancer
  • Paediatrics